Individual
DANIEL CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9801 N KELLEY AVE, OKLAHOMA CITY, OK 73131-2433
(405) 419-2253
Mailing address
9801 N KELLEY AVE, OKLAHOMA CITY, OK 73131-2433
(405) 419-2253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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